The URL can be used to link to this page

Home My WebLink About0022 SUMMERSIDE LANE a3o� Su�i�d13r�� '✓� ..� CAPE C® INSULATION P18ER GLASS SEAMLESS SPRATFQAM SUSPENDED DAM GUTTERS INSULATION CEILINGS 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village w Insulation Installed: Tiberglass Cellulose R-Value Restricted Unr it icted z Ceilings Slopes ) ( ) ( ) ( ) (. L z c Floors Walls ( ) ( ) ( ) ( ) ( ) Sincerely hCod Jr, President , Coon, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map pp Parcel Application #LV Health Division Date Issued Conservation Division Application Fe Planning Dept. Permit Fee ak Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street A dress 2t,(/�,W�i�/�j Village 04) j1,, Owner �� 54� ntl dress Telephone ® .� Permit Request l `l'`� rlJ� �� 'OurLk& At f C ✓�(�'� �1�� •� 3� � � 7�`tom� � � � � Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 7� y ' Construction Type `- o Lot Size Grandfathered: ❑Yes ❑ No If yes, attachsu porting cur -Intation. Dwelling Type: Single Family ax Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kings Highway❑Y- ❑ No Zc Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other "a 56 Basement Finished Area(sq.ft.) Basement Unfinished Area (sq: ) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including bath,;): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes r3 No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION DER OR HOMEOWNER) Name i� L Telephone Number W 1Z5-ate Address ` e� License # (f� Home Improvement Contractor# r�;-3% Worker's Compensation # WC'f'01 Z -�v ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO JV 44 SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# '} DATE ISSUED MAP/PARCEL NO. �l f ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL s PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ti FINAL BUILDING DATE CLOSED OUT _ ASSOCIATION PLAN NO. Y �x 1 a� 1 Massachusetts- Department of Public .SilfCt\ Board of Buililin!g Regulations and Srindartls ® Gonstru,ction Supervisor License a �' - Licen •CS 100988 1 fit _ 3 HENRY CASSIDY 8 SHED ROW WEV 1JARMOUTH., MA 02673 Expiration: 11/11/2013 mum i,,ml oller Tr#: 7620 dyn awl c�ec��a yyr ar -1'^1 Office of Consumer Affairs and Business Regulation p 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: •153567 Type: Private Corporation Expiration: 12/15/?t114 Tr# 233831 CAPE COD INSULATION, INC HENRY CASSIDY 18 R EA R D O N CIRCLE SO. YARMOUTH, MA 02664 Update Address and return card. Mark reason for change. ❑ Address ❑ Renewal [-] Li mployment L Lost Card Office of Consumer Affairs& Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 153567 Type: Office of Consumer Affairs and Business Regulation 11�' xpiration: 12115/2014 Private Corporation 10 Park Plaza-Suite 5170 1 Boston,MA 02116 CAPE COD INSULATION;'-10, HENRY CASSIDY 18 REARDON CIRCLE4,c .'' -.— SO YARMOUTH, MA 02664 Undersecretary -- f val' witho at i e_ :.. The Commonwealth of Massachusetts Pnnt Form Department of Industrial Accidents b0 Office of'Investigations �' II I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Narne (Business/Organization/Individual): 1 vte7u la h a Address: ►�dD�. �1V�i1 City/State/Zip: V MA' Phone #: -r20O— I 1 ' I Z 1 Are you an employer? Check t e appropriate box: Type of project(required): I. I am a employer with 20 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full anal/fir part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5.,❑ We are a corporation and its i0.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 1 L❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof re a'rs insurance required.] .t c. 152, §1(4), and we have no �j tf 10 employees. [No workers' 13Y Other W comp. insurance required.] 'Any applicant that checks box#1 must also till out the section below showing their workers'compensation policy information. r Ilomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. k'outractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those enfities have employees. I I'the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. I nsurance Company Name: A�ao hc, 0MVhV Policy # or Self-ins. Lic. #: WCA0oz52Z, 0i Expiration Date: L v�c� ' Job Site Address: wV� City/State/Zip: IVG/r" Attach a copy of the workers' compensation policy declaration page(showing the policy numbeir and expiration date). l"ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a tine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a tine Of up to$250.00 a day against the violator.. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby cer ` rifler the ainsged penalties of er'ury that the in ormation provided above is true and correct. 4 l / Si mature: Date. Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector b. Other Contact Person: Phone#: ACORIX, CC I N:a LI L. CERTIFICATE OF LIABILITY INSURANCE 77- A NIA I TkIA OF IN i4f(IiZ 07 0 212 IFIC-ATI- CgIF,�z, N0T A C-TPN IF 2 R8 N 0 R 16 H T�5 U'f*"0' ""I'*�(VIA -LV OR NeGA I-M�I-y AIV1,1['11D,FX HAD OR AL-I-ERTI-I E COV12-UAG I=AF FORDE13 UY 'TI I L 'VV. 11-11 S C,E R.1 11:W ATC, (;IF INSURANCE DOES NOTCON,"I I I I I I r A CON i'RACYBE I wc F"F.I C-,,,I N I A I'l V 1, P1 4 0 0 Ll Z E I-,-, AND'I"I'lF C RTIFICATL 1101-11Ck. -EN'l IiEls�5�11N(3 INoLIRI:;R(t;j.ALI I I IQM�LLI licyllut; loutl t: Ll N A L I N'i U K t u I I I IT ------C—C -jj7� lmd cvikd I(I o114 Illy pu cy, cill I:I uti I I IJY l4Ild0IhuMuIII, A lilkiLoLiwii :z'Gdi�6'6;dijdt� �iL I bl"'J Ili tLJ :Ij twil IQ I I I loll I'lliti Collillk:r'lt! Ilk'(k!kI(IIl4( IlVlt(-�W(lic ............. ............. �08 7 PI(OuE No,f'a, 60�)l 602 Will,NI?J: IVIA i,QtjQQ I Liu I ------ —±�Ilk 10333 ":,(Pvt ('00 ht,.;ulat(kpll (Ito INSUdlfRb L1131141011 lJlk;LII C'LIIWo t-ijkjlj«Ljly rr IVI A 02 k� 1111GLIN111Ce ( IjI:op 7 IjV I—Il"'IrIM _L11—IL1RtR 17 ........................... ----------- I F)CA*l N U IV)U E K ...... ...... ISION NIJIvalcit. I I It Pf-h It.W.:o Or" IN'1;rJ"N(,t; t�f," I(L' NANIMABOVI: I-Olt 1111- I10Hf'YPl0kjb (-jU(RffNjiTNr, It"41 01" (VNI.,1110001' Ally COIq1'RAc'I'0R OTHER [A)GLIMENl INIIII 11j'(:1 'I'kj fvIjIj.:jj jjjj:i n All 6JAY k31: J)MOW; Aill() I HE INSURANCEby rjjE POLICES DESCRIBED J•IJJN'EAN IS SLAIJEC I' 10 All, I I U, I I I W�j ION,"; 01 SUCH POLICIES Llkm�', sFjCjv,,pj IIM�IiEEN BY FAIII CLAIMS L Lj ILI, 0 p 6 2 6 3 0(i 31 410/2012 114/010OV: cjc(,, [100 000 I LMILJ�ILIhlrnru ji. OCCUR AWV IN JUICY_,,,-. 11,000,1�!I)0 0IZI4"\Al-A(1111Rl`W1I J;; 0-IJULULILI PgH: 12MMBCK1tN IN 0-0 112012 04JU1/22U 1 j,Q 0 0(1 LI J C', x x ............ 01 04101/21)'J� I~ACIII)CCLIM, :l 1,000'ay C LA 11,1111 MAO L, 1 0 a u(I 613U/2012 06,130JMV X (I N jX, q Ll INIOdli/ NIA c 6 k1u, L 1 71"i-l"' I.J ---------------- Pi kA kW(-t0k I if)WN I L Ill:A (AU—Il AC.0111.)1111,Addl,l. .......... I!' ClIflill "foo lu toi-5 l-'QI lIfIk:.ALt;I I ujLAL:j i',i It I Q11 U dQ LI 0-1 Lill liddil1011al jM�1-1113(1 UIILIUI L"will-Ifal Ll4llfty W11011 roquIrod by wr(tton Of ,it CANCELLATION THE EXPIRA'IrION RATE- Ti-IlliCOF, Nuilc:L, WILL, LiL: I-IftIVI-10J, Iry ACCORDANCE WITH THE POLICY PROVIWON:1. AUltil)IILLUREMM'NIA'iIVL: 6101�a-�1,10-10ACORD CORIZI(MAIJON,All -I o I li(�AC ORL)I'LAII'd 4ild 1000 3(,,roijIMilrod marks ol'AGORD 4 ul M 8 3 6 4 8 MkY OWNER AUTHORIZATION FORM (Owners Name) t owner of the property located at c (Property Address) O (Property Address) hereby authorize Lit, (Sub ntractor) an authorized subcontractor forRISE:Engineering,to act on my behalf to obtain a.building permit and to perform work on my property. Owner's Signature, z , Date' �OF114E T Town of Barnstable *Permit# ? Expires 6 months from issue date * Regulatory Services BARNSTABLE, 4 Fee 0 0 v ,MASS. `0� Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 �AR 1 Fax: 508-790-6230 TO Z�03 EXPRESS PERMIT APPLICATION - RESIDENTIAL Not Valid without Red X-Press Imprint Map/parcel Number //,�� / PropertyAddress err e.o e t/`' sidential Value of Work C a (�UD Owner's Name&Address '6149-k5 NSS Contractor's Nam�,�� fy677 Telephone Number,,-_Jowm��' Home Improvement Contractor License#(if applicable) 62 Construction Supervisor's License#(if applicable) MWorkman's Compensation Insurance Check o e: [�I m a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance 1" Insurance Company Name rove deocC' Workman's Comp.Policy# AJ/ Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side q� 44 - a te- Fle Replacement Windows. U-Value x '1� (maximum.44) JCi Other(specify) T2ioUtce r ,+4e�.Cc��te�►�oo�Cyc(S c tt�C� i•��hc� S6 IS w�' CW CrcfinJc s' *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Prope Owner Letter of Permission. Signature Q:Forms:expmtrg Revised121901 °FINE�° Town of Barnstable Regulatory Services �s"MASSSS. Thomas F.Geiler,Director �A i63 q. ♦0 �F03 a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I,4,t AA S VF'--S S , as Owner of the subject property hereby authorize 3' 2ek" 2�//9'7�' to act on my behalf, in all matters relative to work authorized by this building permit application for(address of job) 02 02 �3 J mA e-r,5c_C{ r �- 4—&he"e" 41 a, n Signature of Owner Date Print Name I JI lead paint abatement-carpentry-painting-vinyl siding&windows-aluminum trim-additions-repairs-lead safe renovation &remodeling Deleading Contractor#DC616-Home Improvement Contractor#101927-Building Contractor#045448 STEVE BARNATT P.O. Box 1228, Dennisport, MA 02639 _- 508-394-5495 tel. or 508-394-2298 fax sbarnatt@attbi.com T ec BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number 045448 J BtrtfL@ EKE, 7 957 I pir T� W4 Tr.no: 26030 (Al 1`p RestriEfedr�;fG STEPHEN S BARi !< 183 CENTER ST S DENNIS, MA 026� I Administrator a Board of Building Regulations and Standards One Ashburton Place - Room 1301 Ok Boston. Massa.c.usetts 02108 Home Improvemei Mh ctor Registration_ _ � anon Registration: 101927 z _ Type: Individual ^ Expiration: 6/29/2004 STEPHEN S. BARNATT A� = — Stephen Barnatt — P.O. BOX 1228 DENNISPORT, MA 02639 /a Update Address and return card.Mark reason for change. i Address 1 ! Renewal i-"i Employment f host Card 7k em,,� Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROYEMENT CONTRACTOR before the expiration date. If found return to: Regis-aeron 1p1 27 Board of Building Regulations and Standards 4�Ekpiration 6f2 2004 One Ashburton Place Rm 1301 ` Boston,Ma.02108 p�- individual STEPHEN S.BARNAf = -- •s• Stephen Barnatt -- 183 CENTER ST. SOUTH DENNIS, MA 02660 Administrator Not valid ithout signature r Ft► r Town of Barnstable *Permit# &N g yP y0,� Expires 6 m onths from issue date BAMSrABLE, s Regulatory Services Fee ,' :.. �0� Thomas F.Geiler,Director A'ED' Building Division Tom Perry, Building Commissioner X-PRESS PERMIT 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 - J U N 7 2002 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIMIlg11r&F BARNSTABLE Not Valid without Red X-Press Imprint Zap/parcel Number 3C : e 77 roperty Address i ZC4,lA (Residential Value of Work 3000,QC� ►wner's Name&Address PAMLL e YA/V C 'ontractor's Name Telephone Number sv tome Improvement Contractor License#(if applicable) o 'onstruction Supervisor's License#(if applicable) rn cn t— ]Workman's Compensation Insurance rn Check one: �,g ❑ I am a sole proprietor 9I am the Homeowner -1 have Worker's Compensation Insurance =ance Company Name lorkman's Comp.Policy# ermit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to y ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows. U-Value (maximum.44) ❑ Other(specify) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. P/2 ignature . Forms:expmtrg